ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2024
Equity of travel to access surgery and radiation therapy for lung cancer in New Zealand.
Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
5 citing papers in PubMed, 4 citations in OpenAlex.
- Political determinants of melanoma: Global inequities in skin cancer care.JAAD international · 2026Article
- Radiation therapy for lung cancer in Aotearoa New Zealand.Cancer causes & control : CCC · 2025Article
- National variation in the treatment of lung cancer in a universal healthcare context.British journal of cancer · 2025Article
- Prevalence of surgery in Indigenous people with cancer: a systematic review and meta-analysis.The Lancet regional health. Western Pacific · 2025Article
- Indigenous access to clinical services along the lung cancer treatment pathway: a review of current evidence.Cancer causes & control : CCC · 2024Review
Corrections and comments
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Authors and funding
11 authors at 7 institutions in 1 country.
Funding
Abstract
purposeCentralisation of lung cancer treatment can improve outcomes, but may result in differential access to care for those who do not reside within treatment centres.
methodsWe used national-level cancer registration and health care access data and used Geographic Information Systems (GIS) methods to determine the distance and time to access first relevant surgery and first radiation therapy among all New Zealanders diagnosed with lung cancer (2007-2019; N = 27,869), and compared these outcomes between ethnic groups. We also explored the likelihood of being treated at a high-, medium-, or low-volume hospital. Analysis involved both descriptive and adjusted logistic regression modelling.
resultsWe found that Māori tend to need to travel further (with longer travel times) to access both surgery (median travel distance: Māori 57 km, European 34 km) and radiation therapy (Māori 75 km, European 35 km) than Europeans. Māori have greater odds of living more than 200 km away from both surgery (adjusted odds ratio [aOR] 1.83, 95% CI 1.49-2.25) and radiation therapy (aOR 1.41, 95% CI 1.25-1.60).
conclusionsCentralisation of care may often improve treatment outcomes, but it also makes accessing treatment even more difficult for populations who are more likely to live rurally and in deprivation, such as Māori.
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Registered trials
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